Individual
JAMIE LYNN AGIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CHAMBORD CT, SHOREHAM, NY 11786-2101
(631) 506-9702
Mailing address
2 CHAMBORD CT, SHOREHAM, NY 11786-2101
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/14/2021
Last updated
08/14/2021
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